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(a and b) Initial presentation showing a pedunculated mass with an ulcerated epithelium and stroma is chronically inflamed, cellular, vascular with endothelial cell proliferation. (H and E, low-magnification views ×1.25 and ×10); (c and d) first recurrence showing a pedunculated growth with surface ulceration and the vascularity extending till the stalk of the lesion. Note the increase in the size and the vascularity of the lesion. (H and E, low-magnification views ×1.25 and ×10)
